DEPARTMENT OF HEALTH RESEARCH DHR Human Resource Development Scheme for Fellowship/ Training Programme III. Specially designed short term orientation training in Indian Institutes in identified areas: (a) Areas identified for fellowship: Toxicology, Genomics Proteomics Geriatrics Stem cell research. Clinical Trials Good Clinical Practices (GCP) Good laboratory Practices (GLP) Quality Control (QC) and Quality Assurance (QA) Modern Biology Biotechnology Genetics Drugs Chemistry Operational Research Health Informatics Medical Ethics Any other area which is considered important by the fellow/ applicant or the parent institute. (b) Duration: 1 to 3 months (c) Eligibility: The faculty employed permanently with recognized medical colleges/ research institutions having 3 years of research experience. Qualifications: MD/MS/PhD. The application should be forwarded by the Employer/Head of the Institution with a statement that the candidate will be considered as a full time employee of the Institution during the period of his/her fellowship Though DHR is in process of identifying the institutes for training/fellowships, till then the fellow/applicant may identify the institute and submit a letter of acceptance from the host Institute where he/she proposes to work during the fellowship. The applicant should submit a concrete plan of training pertaining to the project submitted for availing the fellowship and utilization plan of the training to be obtained. (d) Terms and conditions: 1 Parent institute shall continue to pay salary and other benefits such as leave, medical gratuity, GPF, pension as applicable to the fellow candidate while he/ she is away for the fellowship. No liability on any of these accounts will be borne by DHR. The Fellow will be entitled to a monthly stipend of Rs.25,000 and a contingency grant of maximum of Rs.15,000/- (which includes the cost taxi charges from place of duty to airport and back, on submission of original receipts/bills on return). No other charges/expenditure is admissible. The Fellow will be entitled to air travel by Air India (both ways) in economy class (excursion fare) by the shortest route from the place of duty. The Fellow will be required to submit an undertaking that he would serve the parent institution for a period of 1 year on return from the fellowship programme. The Fellow should submit a final work report (in the prescribed format) on the research and training activities undertaken in the Laboratory/Institute during the fellowship period. This should be submitted within 2 weeks of his/her completion of the Fellowship. A progress report (in the prescribed format) evaluating the performance of the Fellow from the host institution should also be submitted. Though DHR is in process of identifying the institutes for training/fellowships, till then the fellow/applicant may identify the institute. The fellow/candidate should correspond with the Institute/Laboratory to be visited for their fellowship. A letter of acceptance from the Head of Institute/Department to be visited is required to be produced along with the application form. Once selected, the Fellow will not be allowed to change the mentor/ laboratory/ Institute other than the one mentioned in the application. DHR will not be liable for anything whatsoever including GOI clearances, medical insurance etc., beyond the specified duration of stay (as approved by selection committee) of Fellow in the foreign country. (e) Selection Criteria: The selection of the candidate will be based on the evaluation of the merit of the candidate and the relevance of the proposed training to the identified areas by a Committee of eminent scientists. (f) Application format: Annexure II. 2 Annexure II I. Long term fellowship training in Indian Institutes in identified areas & Specially designed short term orientation training in Indian Institutes in identified areas: 1. GENERAL INFORMATION 1.1 Name (in block letters) underline surname 1.2 Postal address for correspondence Pin code: Phone (STD code): Email: 1.3 Permanent address 1.4 Date of Birth 1.5 Present Employment Post held Temporary/Permanent Grade of Pay Salary drawn 1.6 Employer’s name and address Pin code: Phone (STD code): Email: 1.7 Particulars of other fellowships in India and abroad so far availed of Indicate names of agencies, Universities with dates 1.7 State whether you have in the past availed any Fellowship of the Council, If so, state i) The year of award ii) Duration of training iii) Name of the Institutions, where training was received iv) Research techniques in which training was received How the training was utilized? 1.8 Give Name and addresses of two references 2. ACADEMIC RECORD List serially, the particulars of all examination passed for Matriculation/Higher Secondary onwards. Attach attested copies of degree/Diploma/Certificates for each of the examinations passed along with marks sheets of degrees Year of the Study Name of the Aggregate School/College/ marks obtained Distinction subjects in Subjects of thesis if any 3 University Metric/Higher Secondary Pre-Professional M.Sc.(State subjects) M.B.B.S. M.D. (State subject) M.S. (State subject) Ph.D. (State subject) Any other examination passed State Medals, Scholarships, Prizes and any other award, distinction or honour won during the University career. 3. CAREER AT A GLANCE List all appointments held in chronological order up to the present one: Post held Name of place Period employer From -To Grade Salary last drawn Nature duty of Special remarks any if 4. RESEARCH EXPERIENCE: Research Publications: Attach a list of projects undertaken with source of funding and list all your publications. Give a brief outline and scope of published work with references. Enclose reprints of very important ones related to the subject of study. 5. PARTICULARS OF RESEARCH TRAINING PROGRAMME 5.1 Title of the research projects in which training is required 5.2 Names and designation of other coworkers, if any 5.3 Attach a brief note giving the aims and objects of the study 5.4 Duration of the project 5.5 How is it supported? State the name of the supporting agency and the amount of grant required. 5.6 Area in which it is proposed 5.7 Indicate the exact research techniques in which specialized training is desired. 5.8 Give full justifications for the need of the training in relation to the project and 4 utilization plan 5.9 State whether all the facilities and essential equipment needed to carry out the research techniques on which training is desired to be receive are already available in the institute where employed and will be made available to him CERTIFICATE I have studied the conditions of the award and accept them and agree to abide by them if the fellowship is offered to me. I certify that to the best of my knowledge, the particulars given in this application are correct. Signature of the applicant Date Certificate by the Head of the Institute I recommend _______________________________________ for the fellowship applied for and certify that he/she is actually engaged in planning programmes of the institutes and research on the project mentioned in the application. The training desired is essential for carrying out the research project, all the facilities and equipment needed for use of the research techniques in which training will be received are available in the Institute and shall be made available to him/her on his/her return from the training. The institute shall continue to pay salary and other benefits such as leave, medical gratuity, GPF, pension as applicable to the fellow candidate while he/she is away for the fellowship. Signature Name in Block Letters Head of the Institution Organization NB: (a) To submit typed applications 5 (b) All answers should be given in words and not by dashes Strike off those not applicable 6